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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Survey on Sexual Victimization
Agency IC Tracking Number:
BJS
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SSV-1
SSV Federal Bureau of Prisons Summary Form
SSV-1.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SSV-2
SSV State Prison Systems Summary Form
SSV-2.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SSV-3
SSV Local Jail Jurisdictions Summary Form
SSV-3.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SSV-4
SSV Other Correctional Facilities Summary Form
SSV-4.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SSV-5
SSV State Juvenile Systems Summary Form
SSV-5.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SSV-6
SSV Locally or Privately-Operated Juvenile Facilities Summary Form
SSV-6.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SSV IA
SSV Incident Form Adult
SSV-IA.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SSV IJ
SSV Incident Form Juveniles
SSV-IJ.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Correctional Activities
Subfunction:
Criminal Incarceration
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,538
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
45 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,538
0
57
0
0
1,481
Annual IC Time Burden (Hours)
1,353
0
361
0
0
992
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSV Attachments with Table of Contents
Attachments.pdf
03/14/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.